Degenerative lumbar spinal stenosis surgical treatment of.docVIP

 PAGE \* MERGEFORMAT 14 Degenerative lumbar spinal stenosis surgical treatment of Author: De-Ping Li, deer are first, Xiong Chuan-zhi [Keywords:] degenerative lumbar spinal canal stenosis; surgical indication; surgical techniques; fixation and fusion [Keywords:] degenerative lumbar spinal canal stenosis; surgical indication; surgical techniques; fixation and fusion Degenerative lumbar spinal stenosis (DLSS) refers to the lumbar spinal canal, nerve root canal, lateral recess or intervertebral foramen due to degeneration, leading to bone or fibrous structure, shape and volume abnormalities, single-or multi-plane, a plane or multiple lumen diameter stenosis, causing nerve root, cauda equina and vascular compression of the clinical symptoms appear. Lumbar spinal stenosis is a degenerative spinal disease, often associated with degenerative lumbar instability and lumbar scoliosis. With the aging of society and the development of imaging diagnostic techniques, the incidence rate increased significantly. To improve surgical treatment, are on the DLSS surgical indication, surgical methods, as well as integration of internal fixation, etc. are reviewed. A selection of surgical indication DLSS is a chronic disease, does not endanger the lives of patients, some of the symptoms can develop or improve their own suspension. Therefore, conservative treatment should go ahead after onset. If conservative treatment fails and the symptoms intensified, the following symptoms, physical signs, before considering surgery. (1) The symptoms clear and sustained increase, affecting normal life and work; (2) a clear and definite nerve root pain, neurological impairment, in particular, is a serious injury of cauda equina; (3) progressive increase in lumbar spondylolisthesis, scoliosis with the corresponding clinical symptoms and signs. Even if the above symptoms, there are reports of conservative treatment improved. Johnsson et al [1] of 63 patients had surgical indications and recomm